Individual
DR. DANIEL J LAIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D:O., F.A.C.P.
Contact information
Practice address
900 MAIN ST., HOLBROOK, NY 11741
(631) 676-2542
(631) 676-2543
Mailing address
HOLBROOK INTERNAL MEDICINE, PC, PO BOX 82, WADING RIVER, NY 11792
(631) 676-2542
(631) 676-2543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230975
NY
Other
Enumeration date
01/25/2006
Last updated
10/30/2023
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